Holly Wiseman, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

ALPP-205479 Issued in RI

Practice address

36500 Woodingham St
Clinton Township, MI 48035-1688

Phone

(586) 930-2438

NPI assigned

Aug 5, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1073922068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 WOODINGHAM ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351688",
            "telephone_number": "586-930-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 WOODINGHAM ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480351688",
            "telephone_number": "586-930-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "RI",
            "license": "ALPP-205479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Winn
• Alyssa Breanne Winters, DO
• Samantha L Winters, LLBSW
• Lana Wirgau
• Zita Wise
• Lauren Wisneski
• Elizabeth Schwarz Witer, D.O.
• Sara Woelke, OTR/L
• Christine Wolf
• Samantha Wolford, MA CCC-SLP

• Lactation Consultant (Non-RN) in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Lactation Consultant (Non-RN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.